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Ageism might reduce the effectiveness and quality of care in older adults essential with the aging population. Although interventions to counter ageism were carried out among students, no clear integration of their results described the mechanisms underlying their impact. This study aimed to provide a comprehensive understanding of which interventions amongst undergraduate health and social services students are effective, under which circumstances, how, and with what outcomes. A realist review was carried out using 44 keywords in 6 databases. The configurations for contexts, mechanisms, and outcomes were identified for three types of interventions, considering their impact on stereotypes, prejudices, and discrimination toward older adults. In the 63 studies selected, intergenerational contact interventions exhibited the greatest proportion (14/15; 93.3%) of evidence supporting improvement in outcomes of ageism, followed by combined (67/84; 79.8%) and educational (51/67; 76.1%) interventions. Stereotypes and prejudices were challenged by the transmission of realistic and balanced information, as well as through meaningful and high-quality intergenerational contact. Meeting or hearing about a broad variety of older adults in specific conditions also helped to decrease ageism. Results highlighted the importance of seeing diversity and uniqueness in older adults, and their competencies rather than their limitations. Mechanisms were occasionally hampered by obstacles, such as induced anxiety and confirmation of negative aspects of aging. Countering ageism in health and social services students is essential to ensuring high-quality care. In knowing that educators, professionals, and institutions have a direct influence on students, their awareness of ageism should be enhanced by interventions targeting them. [ABSTRACT FROM AUTHOR]

Age-related social biases – ageism – are developed at an early age. Interventions to counter ageism have been identified but little is known about their mechanisms, particularly in children. This study aimed to provide a comprehensive understanding of which interventions in youths are most effective, under which circumstances, how, and with what outcomes. Using 46 keywords in 6 databases, a realist review identified 24 studies published between 2000 and 2022 targeting youths under 18. A content analysis of these studies led to the construction of a Context-Mechanisms-Outcomes explanatory model. Contextual facilitators triggering mechanisms for changing stereotypes, prejudices and discrimination were: 1) enhancing knowledge about aging and older adults by providing nuanced information, 2) improving the quality of intergenerational contacts, 3) increasing opportunities to apply previously acquired knowledge in intergenerational interactions, and 4) promoting reflective thinking about experiences with older adults. However, stereotypes and prejudices appeared to be resistant and changes difficult to generalize. Insufficiently advanced cognitive development in children or viewing healthy and socially engaged older adults as unrepresentative of their age group were obstacles that reduced intervention effectiveness. Future studies should explore how advancing age influences interventions as well as the characteristics of older adults involved. [ABSTRACT FROM AUTHOR]

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In the health and social professions, including occupational therapy and social work, interactions and exchanges with people are essential. Populations encountered by professionals in these fields are becoming increasingly diverse in terms of age, origin, language, health status, and socio-economic background. Sometimes, professionals can have potential misinterpretations regarding intentions and actions, health beliefs and practices, or verbal and non-verbal communication. To overcome obstacles related to practice in a context of diversity, universities must develop students' intercultural competence. Scientific literature stresses the importance of encountering diversity to improve awareness and sensitivity and to bring attention to biases and prejudices. Considering students' intercultural experiences before their formation could be a basis to achieve this educational goal. The present study aims to document this topic. Semi-structured interviews with 51 first-year students from two educational institutions in French-speaking Switzerland were conducted to capture the participants' descriptions of these experiences in private or professional contexts. The interviews were transcribed and submitted to a thematic analysis approach. A thematic map was generated and three main themes emerged: (1) perception of diversity; (2) communication challenges; and (3) transformation of attitudes toward the "Other." They are described and discussed in terms of developing intercultural competence. Recommendations regarding intercultural education emerge from these findings. [ABSTRACT FROM AUTHOR]

Caring for others is one of the most important attributes for individuals who want to be occupational therapists or social workers. Students are not necessarily aware of the challenges and responsibilities of the helping relationship. Deeper insights are needed into these aspects in order to train and prepare students to become competent, work-ready professionals. This study therefore aimed to describe student beliefs about their chosen profession, the competencies they perceived were most important to develop, and their motivators for their choice of profession. In this explorative study, 51 first-year students from occupational therapy (22 students) and social work (29 students) participated in individual semi-structured interviews. The interviews were transcribed and analysed thematically. Although participants had difficulty defining their future profession, they agreed it was all about helping people. A range of competencies was identified, such as establishing interpersonal relationships, sensitivity to difference, communication, flexibility, and teamwork. Differences emerged according to the chosen profession, such as creativity and imagination for occupational therapy students, and administrative skills and the desire to effect change for social work students. Concerning the choice of profession, most participants wanted to help others and engage in human relationships. Diversity and variety of tasks were also attractive elements of both professions. From the beginning of the program, educational institutions should describe more clearly occupational therapy and social work, so that students can develop a realistic vision of their future profession. [ABSTRACT FROM AUTHOR]